The Division of General Anesthesia encompasses not only general surgery, trauma surgery and surgical oncology but also oversees perioperative services and critical care. Stony Brook University Hospital serves as the only Level 1 Trauma center for the nearly 1.5 million people of Suffolk County. A 20 bed Surgical Intensive Care Unit which is run by both surgical and anesthesia faculty. Additional Critical Care takes place in our Coronary Care Unit, Medical Intensive Care, Pediatric Intensive Care and Neonatal Intensive Care Units.
- Tazeen Beg, MD is Chief of the Division of Non-Operating Room Anesthesia (NORA)
- Adrian Fischl, MD is a 2018 graduate of our Residency Program. He then did a fellowship in Adult Cardiothoracic Anesthesiology.
- Martin Griffel, MD is Interim Chief Medical Officer for the hospital.
- David Kiamanesh, MD is the Section Chief for Critical Care and is the Faculty Education Leader for the CVICU. He has a particular interest in mechanical circulatory support.
- Daryn Moller, MD is the Chief of the Division
- Shaji Poovathoor, MDis Associate Professor of Clinical Anesthesiology. He has a particular interest in resident education and has won numerous teaching awards.
- Deborah Richman, MB, ChB, FFA(SA) is the Section Chief for Pre-Operative Services and Past President of SPAQI (Society of Perioperative Assessment and Quality Improvement).
- Kenneth Rosenfeld, MD is the Vice Chair for Clinical Affairs and the Director of Perioperative Services
- Stephen A. Vitkun, MD, MBA, PhD is a Distinguished Teaching Professor and the Vice-Chair for Special Projects
- Meng Wang, MD, PhD
The division of general anesthesiology provides a diverse, well rounded experience for both residents and attendings, from the most basic aspects of the practice of anesthesiology up to the most demanding and complex. Residents will gain significant experience in dealing with complex multi-trauma cases including closed head injury, intra-abdominal injury and major orthopedic injury simultaneously. Although uncommon in this geographic area, penetrating trauma is managed by our trauma services as well. Trauma/Critical Care experience is augmented by a four-week rotation in the 20 bed Surgical Intensive Care Unit which is run by both surgical and anesthesia faculty. Additional Critical Care experience can be done on an elective basis in our Coronary Care Unit, Medical Intensive Care, Pediatric Intensive Care and Neonatal Intensive Care Units.
- CA-1: Four-week rotation with close faculty supervision immediately following the six-week introduction for new residents. Focus is on patient management and problem solving in the OR. The clinical experience is supplemented with medical simulation of routine cases and critical events. Dedicated PACU rotation. Advanced airway management.
- CA-2: There is a focus on invasive monitoring and transesophogeal echocardiography for the diagnosis of ischemia and monitoring of volume status. Residents rotate through Vascular Anesthesia for four weeks with a focus on minimally invasive endovascular procedures. There is also some exposure to major vascular procedures and the physiologic changes associated with surgical procedures involving aortic cross clamping.
- CA-3: This is an advanced clinical rotation for major general and radical oncologic procedures. The focus is on increasing complex patients with multiple co-morbid conditions. Senior residents are given increasing independence as they gain additional experience in the management of these patients. They also rotate through “Airway II”, a two-week block focusing on management of the difficult airway. Senior residents are given additional responsibilities as team leader on call and assist in the triage and management of patients involved in emergent surgical procedures.
▶ A day in the life of a Resident on General Rotation ...
▶ A day in the life of a Resident on Advanced Clinical Rotation ...
▶ A day in the life of a Resident on Vascular Rotation ...
▶ A day in the life of a Resident doing a Trauma case ...
▶ A day in the life of a Resident on Pre-op Rotation ...
- Critical Care Rotation
Recent Division Activity
Recent PublicationsResident authors denoted by bold type
- Makaryus R, Miller TE, Gan TJ.
Current concepts of fluid management in enhanced recovery pathways.
Br J Anaesth. 2018 Feb;120(2):376-383.
- Gupta R, Pyati S.
Controversies in office based anesthesia: obstructive sleep apnea considerations.
Minerva Anestesiol. 2018 May 14.
- Makaryus R, Lee H, Robinson J, Enikolopov G, Benveniste H.
Noninvasive Tracking of Anesthesia Neurotoxicity in the Developing Rodent Brain.
Anesthesiology. 2018 Apr 24.
- Benveniste H, Dienel G, Jacob Z, Lee H, Makaryus R, Gjedde A, Hyder F, Rothman DL.
Trajectories of Brain Lactate and Re-visited Oxygen-Glucose Index Calculations Do Not Support Elevated Non-oxidative Metabolism of Glucose Across Childhood.
Front Neurosci. 2018 Sep 11.
- Alvarez-Nebreda ML, Bentov N, Urman RD, Setia S, Huang JC, Pfeifer K, Bennett K, Ong TD, Richman D, Gollapudi D, Alec-Rooke G, Javedan H.
Recommendations for Preoperative Management of Frailty from the Society for Perioperative Assessment and Quality Improvement (SPAQI).
J Clin Anesth. 2018 Mar 15;47:33-42.
- Richman DC and Pulley DD.
Preoperative Assessment and Management.
In: Musculoskeletal and AutoImmune. Sweitzer BJ (ed). Wolters Kluwer 2018
- Gupta R.
Introduction of a Comprehensive Enhanced Recovery Program in Cardiovascular Surgery Resulted in Measurable Improvements.
- Abola RE, Romeiser J, Rizwan S, Gupta R, Bennett-Guerrero E.
Randomized Controlled Trial of Sugammadex versus Neostigmine for Reversal of Neuromuscular Blockade: Impact on Measures of Early Postoperative Strength.
- Gupta R, Romeiser J, Denoya P, Setaro J, Page CR, Kitterle S, Gan TJ.
Enhanced Recovery After Surgery Program Shortens Hospital Length of Stay and Reduced Opioid Consumption in Colorectal Surgical Patients.
- Gupta R, Rizwan S, Romeiser J.
Survey of ERAS Provider Practices Across North America and Europe.
- Gupta R, Romeiser J, Gan TJ.
Survey Related to the Fasting Experience Prior to and after Implementation of an Enhanced Recovery Pathway.
- Rid S, Jacob Z, Makaryus R, Hyder F, Dienel G, Rothman DL, Benveniste HD.
Trajectories of Brain Lactate Do Not Contribute to Aerobic Glycolysis across Childhood.
- Makaryus R, Yu M, Chen K, Boyd M, Enikolopov G.
Multiple neonatal anesthesia exposures suppress neuronal proliferation in the adult rodent hippocampus.
Society for Neuroscience 2018
- Escobar DP, Richman DC, Wang M.
Airway Management of Lower Paratracheal Mass.
- Fleischer L, Richman DC, Brown A.
23 And You: How Genetics Can Impact Your Anesthetic and Your Life.
Perioperative Medicine Summit Fort Lauderdale FL Mar 2018
- Figueroa C, Fischl A, Sanchez C.
Intraoperative Management Of HITT With Bivalirudin During Carotid Endarterectomy.
- Moller D, Romeiser J, Wu AR, Cannizzo J, Bennett-Guerrero E.
Heart Rate Variability During Surgery: What Changes are Observed During Incision and Opioid Administration?
- Cheung RJ, Richman DC.
Propofol Induced Seizure-Like Phenomenon.
Perioperative Medicine Summit Orlando FL Feb 2019
- Romeiser JL, Cavalcante J, Richman D, Gan TJ, Bennett-Guererro E.
Feasibility of Collecting Perioperative Patient Reported Outcomes Using Web-Based Methods in ERAS Patients.
- Romeiser J, Cavalcante J, Richman DC, Gan TJ, Bennett-Guerrero E.
Feasibility of Collecting Perioperative Patient Reported Outcomes Using Web-based Methods in ERAS Patients.
- Cervo K, Richman D.
Complications Of Head And Neck Radiation – Beyond The Difficult Airway.